Empire State Dental Group PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EMPIRE STATE DENTAL GROUP PC

Practice address

350 Fifth Avenue
Suite 5222
New York City, NY 10118

Phone

(212) 594-8060

Fax

(212) 594-8936

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey J Marjolin, DDS

Title

President

Phone

(212) 594-8060

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan Grayson, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1598887440
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427183516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FIFTH AVENUE",
            "address_2": "SUITE 5222",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10118",
            "telephone_number": "212-594-8060",
            "fax_number": "212-594-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FIFTH AVENUE",
            "address_2": "SUITE 5222",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10118",
            "telephone_number": "212-594-8060",
            "fax_number": "212-594-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE STATE DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARJOLIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-594-8060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Steve D. Rubinstein,OD
• Melanie Dubois
• Melissa Eichelbaum, LMSW
• Esra Ekiz, MD
• Rayane El Rahi, M.D.
• Alexandra Encarnacion
• Evelyn Pacis Enriquez, MD
• Gabriela Escalante, MD
• Maria Del Milagro Estrada Funez, M.D.
• James Michael Fatolitis, NP

• General Practice Dentistry in New York City, NY
• Providers in New York City, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.